Transcript Document

Introducing the
interRAI Acute Care
Talking the same
language for effective
care of older people
www.interrai.org
The interRAI Acute
Care instrument is
designed to support
assessment and
management of frail
older patients in the
acute care setting
www.interrai.org
The instrument enables:
• Profiling of cognitive, functional and
psycho-social status
• Screening for common geriatric syndromes
• Risk assessment for adverse geriatric
events
www.interrai.org
Built on the interRAI standards
• Reliable data items developed by clinicians
• Scales validated against gold standards
• Automated triggering mechanisms for problem
lists, screening and risk profiling
• Part of an integrated system of instruments
• Hospital, community and residential settings
• Common items and scales
• Ready for electronic application
www.interrai.org
The domains are comprehensive…
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Cognition
Communication
Mood & behaviour
Personal and instrumental ADL
Mobility and activity
Continence
Nutrition, skin
Diagnoses & medication
Informal and formal support
www.interrai.org
Comprehensive coverage across
admission episodes
• 121 items
• 25 Administrative / Demographic
• 96 Clinical
• Multiple observation periods
• Pre-morbid (3 days prior to acute illness)
• Admission (initial 24 hour period)
• Review assessments (for longer stay patients or when
sudden change of status occurs)
• Discharge (last 24 hours of episode)
www.interrai.org
The interRAI AC can be used to
support an array of processes
• Profiling at admission
• Geriatric consultation services
• Whole of episode care
• Pre-morbid, admission, progress, discharge
• Discharge preparation
www.interrai.org
interRAI instruments support
management of entire episodes of care,
not only admission assessment
Baseline assessment
Establish care plans
Admission profiling
Quality monitoring
Progress review
Re-assessment as needs change
Discharge plans
Standard review assessments
Discharge profiling
Outcome assessment
… one integrated system
reduces duplication,
improves documentation &
increases care quality.
www.interrai.org
What does it deliver?
Problem lists
• Diagnoses
• Geriatric syndromes
Risk assessment
• Delirium
• Falls
• Functional decline
• Pressure ulcer
• Readmission
• Rehab. potential
• Need for services
Screening
• Delirium
• Dementia
• Malnutrition
• Depression
Severity measures
• Cognitive performance
• Activities of daily living
• Instrumental ADL
• Pain
www.interrai.org
Recording change…
Extensive assessment of
pre-morbid as well as
current patient status
enables rapid identification
of new problems
www.interrai.org
Inbuilt scales enable
monitoring throughout an episode
4
3
Premorbid
Admission
Review
Discharge
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Cognitive Performance Score
5
Cognition
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Short ADL Score
Activities of daily living
www.interrai.org
Scaling to assess severity
- measures available within the interRAI-AC
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Cognitive performance scale (CPS)
Communication scale
Short ADL scale / ADL hierarchy scale
IADL summary scale
Pain scale
Body mass index
www.interrai.org
How assessments are performed…
• Health professional with aged care experience
• Solo or multi-disciplinary assessment
• Interview and observation
• Patient, staff, family and patient record
• 20 to 75 minutes for admission assessment, 10
to 20 minutes at discharge depending on case
complexity
The interRAI AC is an important productivity tool which
reduces duplication of documentation and enhances
discharge planning
www.interrai.org
The interRAI AC is a
powerful clinical tool that will…
• Support clinical evaluation
• Enable electronic communication
• Reduce duplication and paperwork
and…
IMPROVE THE QUALITY OF CARE
www.interrai.org
Talking the same
language for effective care
For more
of information
older people
visit the interRAI websites
www.interrai.org
(International)
www.interrai-au.org
(Australia)
www.interrai.org